HomeMy WebLinkAbout2926 Brumbaugh Dr - Applications/Reroof - 10/02/2017Cit Planning, Development & Transportation
C y Of 281 N. College Ave P.O. Box 580
6 _! rt Collins Fort Collins, CO 80524
Phone 970-416-2740 Fax 224-6134
OVER-THE-COUNTER PERMITS ONLY
This application is to be used to apply for the following permits only (check all that apply). ❑ Air Conditioning
❑ Demolition (interior non-structural) ❑ Electrical Alteration (not service change) ❑ Gas Lighter ❑ Gas Log
❑ Heating Unit ❑ Lawn Sprinkler ❑ Mobile Home replacement ❑ Roofing ❑ Sewer Line ❑ Photo -voltaic
❑ Ventilation ❑ Water Heater ❑ Water Line ❑ Wood/Pellet Stove (must be EPA certified, provide make, model and
manufacturer).
Complete all applicabl
e on the application
Application # l`16 �u '77L
For office use only
Incomplete applicati ns ill not be accepted.
Date
Job Site Address (required)
Value of Construction (labor, materials, profit)
2926 Brumbaugh Dr.
$10898.50
Property Owner Name Address
City/State Zip
Phone
Steve Balmer 2926 Brumbaugh Dr.
Ft. Collins, CO 80524
970-691-3537
Applicant Name Address
City/State Zip
Phone
Betzy Sanchez 614 5th Ave
Greeley, CO 80631
970-395-0406
Contractor Address
City/State Zip
Phone
Bob Behrends Roofing, LLC 614 5th Ave
Greeley, CO 80631
970-395-0406
Contractor City of Ft. Collins Sales Tax #
Are you paying taxes here or by report?
CKHere ❑ Report
5ales tax number Is required by all contractors.
Are you paying with your trust account?
I<Yes ❑ No
41034
Is this a residential or commercial project? lK Residential ❑ Commercial
If residential, is it: ❑ Single Family Detached R Condo/townhome (single family attached)
❑ Multifamily (apartment) ❑ Garage
If commercial, is it: ❑ Bank ❑ Bar ❑ Church ❑ Hotel/Motel ❑ Medical office ❑ Office
❑ Duplex
❑ Retail
❑ Restaurant • ❑ Other (explain)
Is this building 5o years of age or more? ❑ Yes XNo If yes, you may need to contact Historic Preservation
If this is for a demolition permit, what year was the building constructed?
If prior to 1975, you will need an asbestos assessment to submit with this application.
Description of work Tear off 1 layer and install 301b felt. Install ice&water shield in valleys. Install edge metal at rakes&
eaves. Install Oakridqe Driftwood. 30 2/3sq. 1 &2 story
*If lawn sprinkler/backflow preventer, must list licensed plumber. If first-time A/C, must list licensed electrician.
Subcontractors: List the company name or City of Ft Collins license #
Electrician
Mechanical Roofer R-1772 Other
I hereby acknowledge that I have read this application and state that the above information is complete and correct. I agree to
comply with all requirements contained herein and city ordinances and state laws regulating building construction. I know that a
permit is not valid until it has been paid and issued.
Applicant:
Print Name: Betzy Sanchez Signature
Date 9/22/2017